Individual provider Active NPI

Natacha Pankratz, M.D.

  • Pediatrics Physician
  • Round Rock, TX
National Provider Identifier
1710936307
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M1998 Issued in TX
Practice address
2120 N Mays St
Ste 430
Round Rock, TX 78664-2192
Phone
(512) 255-2039
Fax
(512) 733-7145
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M1998 TX Primary

Addresses

Primary practice location

2120 N Mays St
Ste 430
Round Rock, TX 78664-2192

Mailing address

205 E University Ave
Ste 200
Georgetown, TX 78626-6821
Phone (512) 868-1124

Other practice location 1

1001 Little Oak Way
Round Rock, TX 78681-5517
Phone (512) 255-8868

Other identifiers 1

IdentifierTypeStateIssuer
1-76059702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000778 TX Practitioner - Pediatric Medicine 3678599933 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Community Clinic, Inc. CurrentSince Dec 15, 2023 Accepting new patients
Peoples Community Clinic Inc CurrentSince Dec 15, 2023 Accepting new patients
Lone Star Circle of Care Past Accepting new patients
Austin Health Partners PLLC Pediatrics Past Accepting new patients

Locations

1101 Camino La Costa
Austin, TX 78752
Phone (512) 478-4939

10335 US Highway 290 E
Bldg 35
Manor, TX 78653
Phone (512) 478-4939

Interoperability endpoints

  • Direct secure messaging: npankratz681232@direct.ochin.org
  • Direct secure messaging: natacha.pankratz.1@11316.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1710936307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE",
            "address_2": "STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "512-868-1124",
            "fax_number": "512-868-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MAYS ST",
            "address_2": "STE 430",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642192",
            "telephone_number": "512-255-2039",
            "fax_number": "512-733-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Little Oak Way",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786815517",
            "country_code": "US",
            "telephone_number": "512-255-8868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANKRATZ",
        "first_name": "NATACHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-03-01",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-76059702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.